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Kava × Sedatives

CRITICAL INTERACTION — Well-Established Evidence

⚠️ Mechanism

Kava potentiates GABA-A receptor activity, additive with benzodiazepines and other CNS depressants.

📋 Effect

Severe CNS depression; excessive sedation; coma risk

💊 Management

Avoid combination. Kava + benzodiazepines has caused semi-comatose states.

Plain Language Summary

This combination is dangerous. Kava can significantly increase the effects of sedatives, which may lead to extreme sleepiness or even a coma.

Source

Almeida JC et al. Ann Intern Med 2002; Chen X et al. J Ethnopharmacol 2015

Supporting Research

Kava in generalized anxiety disorder: three placebo-controlled trials PMID:16877894 2006
Explanatory attributions of anxiety and recovery in a study of kava PMID:15253862 2004
Kava-Kava administration reduces anxiety in perimenopausal women PMID:12590005 2003
Kava treatment in patients with anxiety PMID:15162364 2004
Efficacy of kava-kava in the treatment of non-psychotic anxiety, following pretreatment with benzodiazepines PMID:11605083 2001
Medical Disclaimer: This interaction record is for informational and educational purposes only and does not constitute medical advice. Drug-supplement interactions can be dangerous. Always consult your healthcare provider or pharmacist before combining any supplement with prescription medications. Do not stop or change any medication without professional guidance.